- Client-centered approach
- Practical coping tools
- Relationship support
About Elizabeth
Dr. Elizabeth Marrufo-Esmele helps people manage stress, anxiety, addictions, relationship struggles, trauma, and depression. She also supports concerns around grief, intimacy, parenting, anger, self-esteem, and mood shifts. People bring questions about sexual assault, codependency, communication breakdowns, and coping with major life changes. She is Dr. Elizabeth Marrufo-Esmele, an LPC licensed in Texas with five years of professional experience.
She approaches sessions from a client-centered perspective, which means she listens first and follows the priorities the client names. She uses practical tools from cognitive behavioral therapy to spot unhelpful thinking and build different habits. Mindfulness practices are woven in to help with grounding and emotion regulation when needed.
The Gottman Method informs her work on relationship patterns and communication skills. Solution-focused techniques are used for short-term goals and building on small changes that matter. For trauma-related concerns she offers focused methods meant to address symptoms and day-to-day coping.
In sessions she aims to create a straightforward space where people can talk through what’s hard. She emphasizes collaboration and pacing work to each person’s needs. The goal is to help clients find clearer choices and manageable steps forward.
Dr. Marrufo-Esmele draws on five years of direct clinical work in Texas settings. Her style is practical and respectful, centered on the person in the room rather than a one-size-fits-all plan.
How her approaches translate to online sessions
Client-centered therapy is about following the person's lead and building on their strengths. In practice this looks like the therapist asking about priorities, reflecting what she hears, and helping clients set goals that matter to them. Cognitive behavioral therapy focuses on identifying and changing patterns of thinking and behavior; online sessions can include practical exercises, thought records, and homework to try between meetings.Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to choose techniques that fit their needs, goals, and comfort level. This collaborative process helps shape session pace and which tools are used over time.
If you are considering online therapy, confirm the current session options before booking so you know what formats are available. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It can also let people practice skills in the settings where they live and work, and plan follow-up activities for real life between appointments.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of problems does this therapist help with?
She works with stress, anxiety, depression, addictions, trauma and abuse, relationship challenges, grief, intimacy issues, parenting concerns, anger, self-esteem, bipolar mood concerns, and coping with life changes.
How would you describe the therapy style and approach?
The approach is client-centered and collaborative, with practical tools from cognitive behavioral therapy, mindfulness, the Gottman Method for relationship work, solution-focused techniques, and trauma-focused methods when appropriate.
What background and experience does the therapist have?
She has five years of professional clinical experience working with people on a range of emotional and behavioral concerns.
What credentials and region should I know about?
She holds the LPC credential and is licensed in Texas.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with this therapist?
International clients are not currently accepted.
How does cost and billing work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the steps to begin therapy?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.